DR. KENT RICHARDSON CORRAL (NPI# 1841263209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841263209 |
| Entity Type | Individual |
| Full Name | DR. KENT RICHARDSON CORRAL |
| Credential | M.D. |
| Practice Address |
4700 N Habana Ave Suite 103 Tampa FL 33614-7160 |
| Mailing Address |
803 W Lowry Ln Tampa FL 33604-4711 |
| Practice Telephone | 8133480224 |
| Practice Fax Number | 8138726792 |
| Mailing Telephone | 8133480224 |
| Mailing Fax Number | 8138726792 |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2013-01-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 173000000X | Legal Medicine | ME0035361 | FL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | AVMED | 219133 | 01 |
| FL | BCBS | 30392 | 01 |
| Street Address |
4700 N HABANA AVE SUITE 103 |
| City | TAMPA |
| State | FL |
| Zip Code | 33614-7160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952387961 | Jose M Sanchez Ojeda | General Practice | 4700 N Habana Ave, Ste 101, Tampa, FL 33614-7160 | 2005-12-21 |
| 1689135212 | Laura Renee Mercado | Dietitian, Registered | 4700 N Habana Ave, Tampa, FL 33614-7160 | 2019-03-27 |
| 1194239780 | Medical Home Alliance LLC | Non-Pharmacy Dispensing Site | 4700 N Habana Ave, Tampa, FL 33614-7160 | 2017-11-20 |
| 1437690732 | Cecelia Addison | Counselor | 4700 N Habana Ave, Suite 500, Tampa, FL 33614-7160 | 2017-03-20 |
| 1699135061 | Tampa Vamc | Psychiatric Residential Treatment Facility | 4700 N Habana Ave, Tampa, FL 33614-7160 | 2016-02-29 |
| 1942555180 | Mcilwain Medical Group, Pa | Internal Medicine | 4700 N Habana Ave, Suite 201, Tampa, FL 33614-7160 | 2012-07-13 |
| 1952664435 | Burnette & Silverfield Mds Plc | Internal Medicine | 4700 N Habana Ave, Suite 303, Tampa, FL 33614-7160 | 2012-06-20 |
| 1881994606 | Gulfshore Pain & Wellness Centre | Clinic/Center | 4700 N Habana Ave, 403, Tampa, FL 33614-7160 | 2010-10-26 |
| 1023248945 | Jessica Mesa | Massage Therapist | 4700 N Habana Ave, 700, Tampa, FL 33614-7160 | 2009-07-27 |
| 1982839510 | Relief Medical Center, LLC | Legal Medicine | 4700 N Habana Ave, Suite 701, Tampa, FL 33614-7160 | 2009-05-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134733082 | Robin Rollena Stewart | Home Health | 9537 Lazy Lane, Apt 302, Tampa, FL 33614 | 2020-09-08 |
| 1346885761 | David Joseph Page | Nurse Practitioner | St. Joseph's Behavioral Health Center, 4918 N. Habana Ave, Tampa, FL 33614 | 2019-11-08 |
| 1134687411 | Ramon Chang Adult Family Care Home LLC | Custodial Care Facility | 2607 W Humphrey St, Tampa, FL 33614 | 2019-03-06 |
| 1134600612 | Senior Point Assisted Living Facility, LLC | Assisted Living Facility | 2940 W Hillsborough Ave, Tampa, FL 33614 | 2018-08-23 |
| 1306361266 | Larry Valdes | Assisted Living Facility | 4402 W Minnehaha St, Tampa, FL 33614 | 2017-08-11 |
| 1982128062 | Jaime F Casellas Md Corp | Internal Medicine | 4600 N Habana Ave Suit #13, Tampa, FL 33614 | 2017-07-31 |
| 1891219119 | Waveney Gittens-williams | Alzheimer Center (Dementia Center) | 3706 W. Idle Wild Cir #203, Tampa, FL 33614 | 2017-07-28 |
| 1750811857 | Syerita Nicole Morris | Counselor | 6800 N Dale Marby Hwy, Ste 164, Tampa, FL 33614 | 2017-06-13 |
| 1447786124 | Lisa Moy | Case Manager/Care Coordinator | 4001 W. Dr. Martin Luther King Jr. Blvd., Tampa, FL 33614 | 2017-05-02 |
| 1750813804 | Joshua Martin Good | Physical Therapy Assistant | 3363 W. Waters Avenue, Suite 700, Tampa, FL 33614 | 2017-03-29 |
| Find all providers in zip 33614 | ||||
| Taxonomy Code | 173000000X |
| Grouping | Other Service Providers |
| Classification | Legal Medicine |
| The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578874038 | Evelisse Acosta | Legal Medicine | 5011 W Hillsborough Ave Ste N, Tampa, FL 33634-5309 | 2010-06-29 |
| 1962677666 | Devjit Halder | Legal Medicine | 3102 W Cypress St Ste A, Tampa, FL 33607-5118 | 2008-04-24 |
| 1932306115 | Nadal Medical Center, Inc | Legal Medicine | 4019 W Waters Ave, Ste #d, Tampa, FL 33614-1949 | 2007-06-29 |
| 1225160468 | John Bernard Rew | Legal Medicine | 1005 W Busch Blvd Ste 105, Tampa, FL 33612-7705 | 2007-03-12 |
| 1033266176 | Citrus Park Medical Care Inc | Legal Medicine | 6328 Gunn Hwy, Tampa, FL 33625-4122 | 2007-01-04 |
| 1861492498 | Angela Y Ross-johnson | Legal Medicine | 200 S Macdill Ave Ste 100, Tampa, FL 33609-3536 | 2005-07-26 |
| 1982839510 | Relief Medical Center, LLC | Legal Medicine | 4700 N Habana Ave, Suite 701, Tampa, FL 33614-7160 | 2009-05-27 |
| 1275799934 | Rosibel Molina Perurena | Legal Medicine | 3260 W Hillsborough Ave, # 111, Tampa, FL 33614-5902 | 2008-08-01 |
| 1518133610 | Leon Wayne Mitchell Md Pa | Legal Medicine | 3010 E 138th Ave, Suite 100, Tampa, FL 33613-3904 | 2008-05-08 |
| 1053585596 | University Geriatric Center LLC | Legal Medicine | 3010 E 138th Ave, Suite 100, Tampa, FL 33613-3904 | 2008-04-16 |
| Find all providers in TAMPA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.